| NPI | 1891246336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE HARDAWAY Owner 443-435-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007494) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2017-04-03 |